2018
DOI: 10.1016/j.spinee.2018.04.017
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Predictive model for distal junctional kyphosis after cervical deformity surgery

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Cited by 66 publications
(107 citation statements)
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References 17 publications
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“…The current study is one of the largest to focus on the surgical treatment of rigid CK and includes a multitude of etiologies. Sample characteristics regarding age, ASA-score, fusion levels, blood loss, and use of anterior and/or posterior and combined approaches were similar to previous studies on CK with a representative sample [1,23,[27][28][29][30][31]. Our study was designed to address all facets of treating rigid CK and serves as a good basis to characterize future research needs.…”
Section: Complicationsmentioning
confidence: 90%
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“…The current study is one of the largest to focus on the surgical treatment of rigid CK and includes a multitude of etiologies. Sample characteristics regarding age, ASA-score, fusion levels, blood loss, and use of anterior and/or posterior and combined approaches were similar to previous studies on CK with a representative sample [1,23,[27][28][29][30][31]. Our study was designed to address all facets of treating rigid CK and serves as a good basis to characterize future research needs.…”
Section: Complicationsmentioning
confidence: 90%
“…With residual imbalance, there is a significantly increased risk of construct failure, delayed union, and loss of correction [75,[80][81][82][83][84]. In a study on 71 patients with cervical deformity [29,81], a multivariate regression analysis revealed that the occurrence of post-operative DJK was the only significant parameter associated with suboptimal outcomes in respect to correction of C2-C7 SVA. A larger thoracic inclination (T1-slope) was related to significantly increased rates of DJK (29% vs. 1%).…”
Section: Complicationsmentioning
confidence: 99%
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“…One recent study of surgical CD patients demonstrated that both cervical and global radiographic parameters were predictive of the postoperative complication of distal junctional kyphosis in the CD cohort. 15 Other studies have also shown that global alignment affects the cervical spine and that in a thoracolumbar deformity population, both cervical and global sagittal alignment parameters are predictive of worse CD. 13,14 Additionally, the predictor showed that having more than 9 vertebral levels in the preoperative maximal…”
Section: Discussionmentioning
confidence: 96%
“…There is no golden standard for measuring cervical sagittal malalignment. We, and many others [11], used the C2-C7 Cobb angle as we believe it to be a reliable quantification of overall global cervical alignment that does not overlook distal junctional kyphosis [25]. However, other measurements of cervical sagittal malalignment exist, for example T1 slope, sagittal vertical axis, chin-brow vertical angle, and Cobb angle with the surgical area as end points [11,15,26].…”
Section: Limitationsmentioning
confidence: 99%